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FORMS- HUMAN RESOURCES & PAYROLL

Note: these forms are in PDF format*, except as noted and require Adobe Acrobat Reader to view, complete on-line (where applicable), and print. Download the free Adobe Acrobat Reader: PDF icon
  • GENERAL USE FORMS
  • BENEFIT FORMS
  • CONSULTING/OUTSIDE EMPLOYMENT
  • DRIVING/VEHICLE FORMS
  • EMPLOYMENTFORMS
  • INTERNATIONAL EMPLOYEES FORMS
  • LEAVE/FMLA
  • MISCELLANEOUS FORMS
  • NEW EMPLOYEE ORIENTATION FORMS
  • PAYROLL FORMS
  • PERFORMANCE EVALUATION FORMS
  • RETIREMENT FORMS
  • WORKERS COMPENSATION FORMS
 GENERAL USE FORMS

  • Approval of Visiting Scholars - Form 5VS
  • Background Check Disclosure Notice - Authorization Form - AG-473
  • Change of Address, Phone Number, or Name - AG-502
  • Drug and Alcohol Awareness Pamphlet
  • Employee Training and Development Record - AG-455
  • Employment Application - Agriculture Program  - AG-444
  • Formal Complaint - AG-424
  • Position Authorization/Description - AG-404
    PDF | WordPerfect
    Instructions for PAD PDF | HTML (Web Format)
  • Request for Use of Texas A&M University Agricultural Research  and Extension Center Facilities - AG-428
 BENEFIT FORMS

  • Annual Enrollment Form - HR-102
  • Application for Refund (for ORP Participant) TRS-29
  • Beneficiary Designation Form - HR 103
  • Benefit Change Form - HR-105
  • COBRA form - Health/Dental/Vision Coverage Continuation Form
  • Dependent Enrollment Form/Certification - HR 101
  • Evidence of Insurability Form   - Insurance - (Ft Dearborn)
  • Life Insurance Enrollment Form - HR 138
  • Long Term Care New Employee Enrollment (Scroll to Long Term Care Forms for information)
  • New Employee Benefit Enrollment Form - HR 100
  • Notice of Election to Participate in Optional Retirement Program - TRS-28
  • ORP Information Acknowledgement form - TAMUS HR 12
  • ORP Notification of Change in Employment Status HR-15
  • ORP - Prior Participation Acknowledgement TAMUS HR 11
  • ORP Salary Reduction Acknowledgement/Change of Vendor TAMUS HR-14
  • ORP/TDA Transfer Verification Form - TAMUS HR-16
  • Payflex Claim Form
  • Summary and Acknowledgement of Benefits  - AG-414
  • Survivor Health/Dental/Vision Continuation Form - HR 112 
  • TDA Salary Reduction Agreement/Change of Vendor Form - TAMUS HR 17
 CONSULTING/OUTSIDE EMPLOYMENT FORMS

  • Non-Faculty Outside Employment and Consulting Application and Approval - HR 202
  • Request for Consulting and Outside Professional Employment for Faculty and Extension Agents - TAES, TCE, and COALS - AG-406
    PDF | WordPerfect
 DRIVING/VEHICLE FORMS

    Request for Information from Texas Drivers License Records - DPS Form DR-1
  • Drivers Confidential Accident Report, Texas DPS Report Form ST-2
  • Motor Vehicle Accident Report Brochure
  • Motor Vehicle Accident Report - System Form 9
  • Vehicle Insurance Add/Drop Information - Risk Management Form - For Vehicles not owned by TAES but used by TAES Employees
 EMPLOYMENT FORMS

  • Alternate Work Location Request - AG-438
  • Alternate Work Location Agreement - AG-439
  • Alternate Work Location - Inventory of Equipment- AG-440
  • Alternate Work Location Safety Checklist - AG-441
  • Applicant Flow Report - AG-410
    PDF | WordPerfect
  • Approval of Offer to Non-Faculty Employees in Research Positions form 5G
  • Approval of Offer to Prospective Faculty Member (Word 97 format)
  • Approval of Visiting Scholars, Form 5VS
  • Background Check Disclosure Notice - Authorization Form - AG-473
  • Change of Address, Phone Number, or Name - AG-502
    PDF | WordPerfect
  • Employee Termination Checklist - AG-442
  • Employment Application - Agriculture Program
  • Employment Application - Student - AG-457
  • Faculty Recruiting Plan - TAES
  • Flexible Work Schedules - AG-430
  • Hiring Certificate - AG-462
  • Interview Report Form - TAES 132-80
  • Inventory of Equipment  - AG-440 (for Alternate Work Location)
  • Position Authorization/Description (PAD)- AG-404
    PDF | WordPerfect
    Instructions for PAD -  PDF | HTML (Web Format)|
  • Reference Check, Telephone - AG-446
  • Request to Employ Student Worker - CO ALS/TAES/TCE Administration
  • Request for Applicant Record Check - AG-473
  • Request for Personnel Actions - TAEX - D-773    (Instructions) (To be replaced by Request for Form 500)
  • Search Committee Identification Form
  • Statement of Selective Service - AG-401
  • IP/SEP - NO FORM USED, See Procedures 31.01.01.A1.01 (TAES) or 31.01.01.X1.01 (TCE)
  • Student Employment Application - AG-457
  • Telephone Reference Check - AG-446
  • Termination Checklist - Employee - AG-442
  • Transitions - AG-449
  • Voluntary Self Identification, EEO Form - AG-425
 INTERNATIONAL EMPLOYEE FORMS

  • Hiring or Inviting an International to Texas A&M University
  • Approval of Visiting Scholars, Form 5VS
 LEAVE/FMLA FORMS

  • Certification of Health Care Provider - USDOL Form WH-380
  • Employee Sick Leave, Annual Leave, and Comp Time Record - TAES Form 105-75 
  • Faculty Development Leave Application - AG-426
  • Faculty Development Leave - Administrative Head Information Sheet
    PDF | WordPerfect
  • Faculty Development Leave - Instruction Sheet/Checklist
  • Medical Certification Form - HR-36
  • Request for Leave - AG-411
  • Sick Leave Pool Contribution Form- AG-433
  • Sick Leave Pool Application to Withdraw Hours - Ag-434
 MISCELLANEOUS FORMS

  • Employee Termination Checklist - AG-442
  • Employee Training and Development Record - AG-455
  • Housing Lease Contract - TAES
  • Intellectual Property Agreement
  • Waiver of Liability and Hold Harmless Agreement
 NEW EMPLOYEE ORIENTATION FORMS

  • EEO Coordinators for the Agriculture Program - AG-420
  • Employee In-Processing Acknowledgement - AG-415
  • Employee Personal Data Form HR-181
  • Employment Verification Eligibility - US DOJ form I-9 (6/5/07)
  • Hazard Communications Notice to Employees
  • Intellectual Property Agreement - AG-470
  • Minors Release - AG-416
  • New Employee Training - AG-443
  • New Employee Processing Checklist - AG-421
  • New Employee Worksheet - AG-465
  • Statement of Selective Service - AG-401
  • Student Information Form
  • Statement of Previous State Employment - AG-419
  • Summary and Acknowledgment of Employee Benefits and Responsibilities - AG-414
  • Texas Government Code 556, Political Activity and Texas Government Code 572, Standards of Conduct - AG-417
 PAYROLL FORMS

  • Agreement for Dual Employment an Employee Resulting in Multiple Payments
    PDF | WordPerfect | Microsoft Word
  • Bi-Weekly Time Report for Non-Exempt Employees AG-505
  • Calculation of Lump Sum Annual Leave Payment - AG-510
  • Certificate of Service for Monthly Employees (TCE) D-228
  • Check request - AG-202 (print on pink paper and include a screen print of FAMIS Screen 168)
    PDF | WordPerfect | Microsoft Word
  • Communication Allowance Procedures
  • Communication Allowances Certification - AG-516
  • Communication Equipment Allowance Enrollment Form- One-Time- AG-514
  • Communication Plan Allowance Enrollment- Monthly - AG-515
  • Correction Request Form - Payroll (AG-201-PAV)
    PDF | Excel
    Insert for Corrections
  • Direct Deposit Authorization - AG-501
  • Request for Compensation for Contribution to a Continuing Education or Other Extracurricular Activity - AG-519
  • Request for Form 500 - AG-511
  • Request for Temporary ID Number - AG-512
  • Request for Tax Withholding on Non-Salary Compensation Items - AG-517
    - Emolument Codes
  • SSO/LeaveTraq/Timetraq/UIN Manager Application - AG-513
  • Supplemental Hourly Preparation Report - AG-503  
  • Supplemental Monthly Budget Verification Document - AG-504
    - Suppplemental Pay Codes
  • W-4, IRS Form for 2008
 PERFORMANCE EVALUATION FORMS

  • Performance Evaluation - Faculty
    • Annual Plan of Work AG-453
    • Faculty Achievement Report AG-452
    • Documentation of Faculty Evaluation,  Suggested Format AG-454
    • Dossier Cover Sheet (WordPerfect) (If Desired)
 RETIREMENT FORMS

  • Bank Draft Authorization Agreement - AG-437
 WORKERS' COMPENSATION FORMS

  • AG-413 - Workers' Compensation Injury Report Log  
  • Request for Paid Leave - WCI only 
  • DWC-1 - First Report of Injury
  • DWC-3 - Employee Wage Statement for Workers Compensation
  • DWC-6 - Supplemental Report of Injury

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